5YL-27562-71555
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 946 / CA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-03-04
Dose 2 — Moderna
-
2021-03-31
Registered in v-safe
-
2021-03-31
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Since second vaccination I have had terrible leg ache and moderate arm aching. Tomorrow will be one month of these symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-31
Report sent to call center — day 21, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-01
- 2021-04-08
- 2021-04-17
- 2021-06-03
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Immediate post-injection reaction, Myalgia, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Symptoms: Continuing muscle pain in legs and upper body. I have seen 3 doctors , all agreed that it may have been caused by vaccine I had received as it began right after vaccine was administered. Its nearly 6 months and have had me do numerous tests . · Healthcare visit (other): In person with Rhumedoid specialist 3xMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-03
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-08
- 2021-09-09
-
2021-09-09
Call successfulReported to VAERS voluntarily prior to GDIT contact
-
2022-03-04
Survey response — 12 months, dose 2MedDRA: Myalgia, Myopathy, Office visit — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Continuing muscular myopathy as diagnosed by Rheumatologist that my Primary MD sent me to. It began 4 days after first Moderna vaccine on 2/4/21. Muscle pain is decreasing , but after 1 year and blood work every 3 months . · Healthcare visit (other): In person appointments w Primary and Rhumedoid specialistMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
-
2022-03-09
Call successfulParticipant prefers to complete VAERS report online
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Call center
3 call center cases
3 successful
VAERS report filed, before or during a call: 2
Free text
Release 6 — day 21, dose 2
Symptoms: Since second vaccination I have had terrible leg ache and moderate arm aching. Tomorrow will be one month of these symptoms
Release 9 — 6 months, dose 2
Symptoms: Continuing muscle pain in legs and upper body. I have seen 3 doctors , all agreed that it may have been caused by vaccine I had received as it began right after vaccine was administered. Its nearly 6 months and have had me do numerous tests .
Healthcare visit (other): In person with Rhumedoid specialist 3x
Release 11 — 12 months, dose 2
Symptoms: Continuing muscular myopathy as diagnosed by Rheumatologist that my Primary MD sent me to. It began 4 days after first Moderna vaccine on 2/4/21. Muscle pain is decreasing , but after 1 year and blood work every 3 months .
Healthcare visit (other): In person appointments w Primary and Rhumedoid specialist
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Immediate post-injection reaction | ✓ | · | ✓ |
| SD | Myalgia | ✓ | · | ✓ |
| SD | Myopathy | · | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release